RADFORD UNIVERSITY (NPI# 1336221407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336221407 |
| Entity Type | Organization |
| Organization Name | RADFORD UNIVERSITY |
| Other Organization Name | RADFORD UNIVERSITY FAMILY HEALTH CLINICS |
| Practice Address |
801 E Main St Waldron Hall First Floor Radford VA 24142-0001 |
| Mailing Address |
Po Box 7020 Radford VA 24142-7020 |
| Practice Telephone | 5408317660 |
| Practice Fax Number | 5408317740 |
| Mailing Telephone | 5408317660 |
| Mailing Fax Number | 5408317740 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JANET L MCDANIEL (DIRECTOR) |
| Authorized Official Telephone | 5408317662 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Radford University Family Health Clinics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629587456 | Radford University | Early Intervention Provider Agency | 801 East Main Street, Radford, VA 24142 | 2017-09-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Radford University Alumni Association LLC | 6226 University Park Drive, Radford, Virginia 24141 |
| Virginia Business Entities | Radford University Athletic Foundation | 6226 University Park Dr, Radford, Virginia 24142 |
| Virginia Business Entities | Radford University Foundation Incorporated | 6226 University Park Dr, Radford, Virginia 24141 |
| Virginia Business Entities | Radford University Foundation Real Estate Management LLC | 6226 University Park Drive, Radford, Virginia 24141 |
| Colorado Business Entities | Radford University Foundation, Inc. | 6226 University Park Drive, Radford, VA 24141 |
| Virginia Business Entities | Radford University Property Acquisition Corp. | Office of The Pres Martin Hall, 801 E Main St, Radford, Virginia 24142 |
| Virginia Business Entities | Radford University Real Estate Foundation | 6226 University Park Drive, Radford, Virginia 24141 |
| Street Address |
801 E MAIN ST WALDRON HALL FIRST FLOOR |
| City | RADFORD |
| State | VA |
| Zip Code | 24142-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730682857 | Lambros Dallas | Occupational Therapist | 801 E Main St, Radford, VA 24142-0001 | 2018-03-15 |
| 1528414927 | Jonathan Arvelo | Specialist/Technologist | 801 E Main St, Radford, VA 24142-0001 | 2016-05-04 |
| 1194182824 | Meredith Epperley Peters | Physician Assistant | 801 E Main St, Radford, VA 24142-0001 | 2016-01-26 |
| 1083639371 | Deborah S Ring | Nurse Practitioner | 801 E Main St, Box 7020, Radford, VA 24142-0001 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003459496 | Margaret Anne Burton | Specialist/Technologist | 501 Stockton Street, Radford, VA 24142 | 2019-10-18 |
| 1912176090 | Mary Hope Gibson | Nurse Practitioner | Moffett Hall Adams Street, Radford University Student Health, Radford, VA 24142 | 2008-02-22 |
| 1437147055 | Judith A Collins-cox | Nurse Practitioner | Ru Station 6899, Adams & Tyler Streets, Radford, VA 24142 | 2005-10-07 |
| 1629587456 | Radford University | Early Intervention Provider Agency | 801 East Main Street, Radford, VA 24142 | 2017-09-25 |
| 1285678417 | Sudesh Tayal | Family Medicine | 128 Jefferson St, Waldron Hall - Radford University Clinics, Radford, VA 24142 | 2006-06-16 |
| 1447249024 | Megan Mckewan | Registered Nurse | Ru Station 6899, Adams & Tyler Streets, Radford, VA 24142 | 2005-10-17 |
| 1184612798 | Stephen D. Sylvester | Physician Assistant | Ru Station 6899, Adams & Tyler Streets, Radford, VA 24142 | 2005-10-07 |
| 1447286265 | Thomas Fritz Knisely | Family Medicine | 514 Adams St, Radford, VA 24142-6899 | 2006-06-23 |
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.